Individual
LISA ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 MEADOW DR, SUITE C, MOUNT GILEAD, OH 43338-1389
(419) 947-4055
(419) 947-4285
Mailing address
950 MEADOW DR, SUITE C, MOUNT GILEAD, OH 43338-1389
(419) 947-4055
(419) 947-4285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
121069
OH
Other
Enumeration date
02/08/2017
Last updated
10/14/2021
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